Year: 1996 Vol. 62 Ed. 1 - (3º)
Artigos Originais
Pages: 15 to 38
Vertical Partial Laryngectomy with Reconstruction by Platysma Myocutaneous Flap: Oncologic an Funcional Evaluation.
Author(s):
Osiris de O. C. do Brasil *
Paulo A. Lima Pontes **
Mara Behlau ***
Keywords: Partial Laryngectomies, platysma, functional
Abstract:
Twenty one patients with glottic tumors classifed as T1 bNoMo, T2NoMo and T3NoMo have gone into frontolateral Laryngectomy, hemilaryngectomy and enlarged hemilaryngectomy. The authors performed the oncologic assessment with three years of follow-up, and functional evaluation relative to a swallowing, breathingandphonation. Complications were also analysed. Thus, we've assumed that, platysma myocutaneous flap procedure for vertical partial Laryngectomy reconstruction does not compromise oncological results. Deglutition is normal with no oro-tracheal aspiration. All patients were decannulised and maintained the same physical activities as prior the surgery. Vocal quality changed, but remained reciprocal to the quality and quantity of vibrating structures, although intellegibility had been the same as in normal individuals. Low occurrence of complications.
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